THOMAS R MIRSEN MD
NPI 1902980352
Psychiatry & Neurology - Neurology in Camden, NJ

NPI Status: Active since October 24, 2006

Contact Information

3 COOPER PLZ
SUITE 215 (NEUROLOGY)
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-2445
Fax: (856) 964-0504

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Neurology
  • PECOS Enrolled

About THOMAS MIRSEN

This page provides the complete NPI Profile along with additional information for Thomas Mirsen, a provider established in Camden, New Jersey with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1902980352 assigned on October 2006. The practitioner's primary taxonomy code is 2084N0400X with license number MA54529 (NJ). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1902980352
Provider Name
THOMAS R MIRSEN MD
Gender
Male
Entity Type
Individual
Location Address
3 COOPER PLZ SUITE 215 (NEUROLOGY) CAMDEN, NJ 08103
Location Phone
(856) 342-2445
Location Fax
(856) 964-0504
Mailing Address
3 COOPER PLZ SUITE 320 CAMDEN, NJ 08103
Mailing Phone
(856) 342-2445
Mailing Fax
(856) 964-0504
Is Sole Proprietor?
No
Enumeration Date
10-24-2006
Last Update Date
04-25-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
MA54529
License State
NJ
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
010003879OTHER (01)AMERICHOICE
0388541000OTHER (01)AMERIHEALTH, KEYSTONE, IBC
1243169OTHER (01)UNITED HEALTHCARE
E62059MEDICARE UPIN (02) 
7808502OTHER (01)CIGNA
567399OTHER (01)AMERIHEALTH PPO
110084266OTHER (01)RR MEDICARE
13517OTHER (01)UNIVERSITY HEALTH PLAN
0651800MEDICAID (05)NJ 
P440700OTHER (01)OXFORD
1024720OTHER (01)HORIZON NJ HEALTH
567399MEDICARE PIN (08)NJ 
3K6143OTHER (01)HEALTHNET
0518267OTHER (01)AETNA

Medicare Participation & PECOS Enrollment Status

Thomas Mirsen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 08103 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $140.34
  • Minimum New Patient Price $61.59
  • Maximum New Patient Price $185.05
  • Average New Patient Copayment $35.08
  • Minimum New Patient Copayment $15.39
  • Maximum New Patient Copayment $46.26

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $107.94
  • Minimum Established Patient Price $20.08
  • Maximum Established Patient Price $150.98
  • Average Established Patient Copayment $26.98
  • Minimum Established Patient Copayment $5.02
  • Maximum Established Patient Copayment $37.74

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902980352, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 1 + 8 + 8 + 0 + 3 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1902980352.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
3 COOPER PLZ, RM 510
CAMDEN, NJ 08103
Nurse Practitioner (Pediatrics)
3 COOPER PLZ, SUITE 309, PEDIATRIC NEUROLOGY
CAMDEN, NJ 08103
Ophthalmology
3 COOPER PLZ, SUITE 510
CAMDEN, NJ 08103
Surgery (Trauma Surgery)
3 COOPER PLZ, SUITE 411
CAMDEN, NJ 08103
Physician Assistant (Surgical)
3 COOPER PLZ, SUITE 411
CAMDEN, NJ 08103
Orthopaedic Surgery
3 COOPER PLZ, SUITE 502
CAMDEN, NJ 08103
Psychologist
3 COOPER PLZ, SUITE 307
CAMDEN, NJ 08103
Internal Medicine (Nephrology)
3 COOPER PLZ, SUITE 215
CAMDEN, NJ 08103
Occupational Therapist
3 COOPER PLZ, SUITE 518
CAMDEN, NJ 08103
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3 COOPER PLZ, SUITE 411
CAMDEN, NJ 08103
Pediatrics (Pediatric Infectious Diseases)
3 COOPER PLZ, SUITE 200
CAMDEN, NJ 08103
Internal Medicine
3 COOPER PLZ, SUITE 215
CAMDEN, NJ 08103
Psychiatry & Neurology (Psychiatry)
3 COOPER PLZ, SUITE 307
CAMDEN, NJ 08103
Internal Medicine (Infectious Disease)
3 COOPER PLZ, SUITE 513 (INFECTIOUS DISEASE)
CAMDEN, NJ 08103
Pediatrics (Pediatric Gastroenterology)
3 COOPER PLZ, SUITE 200
CAMDEN, NJ 08103
Physician Assistant (Medical)
3 COOPER PLZ, SUITE 311
CAMDEN, NJ 08103
Nurse Practitioner
3 COOPER PLZ, SUITE 215
CAMDEN, NJ 08103
Eyewear Supplier
3 COOPER PLZ, SUITE 510
CAMDEN, NJ 08103
Internal Medicine (Cardiovascular Disease)
3 COOPER PLZ, SUITE 311
CAMDEN, NJ 08103
Pediatrics (Pediatric Endocrinology)
3 COOPER PLZ, SUITE 200
CAMDEN, NJ 08103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902980352, enumerated as an "individual" on October 24, 2006.

The provider is located at 3 COOPER PLZ SUITE 215 (NEUROLOGY) CAMDEN, NJ 08103 and the phone number is (856) 342-2445.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Medicare, Medicaid, AmeriHealth, Cigna, Railroad. Please consult your insurance carrier or call the provider to verify.